PEDIATRIC CLINIC, PC
NPI 1902200447
Clinic/Center - Primary Care in Riverdale, GA

Active since October 13, 2014
189 MEDICAL WAY, SUITE C, RIVERDALE, GA 30274(770) 991-8900(770) 991-8917 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC CLINIC, PC (NPI 1902200447) is a healthcare organization registered as a primary care in Riverdale, Georgia and active in the NPI registry since October 2014. The organization lists Amjad Iqbal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902200447
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRIC CLINIC, PC
Location Address189 MEDICAL WAY, SUITE CRiverdale, GA 30274-4905
Mailing Address189 Medical Way, Suite CRiverdale, GA 30274-4905 · (770) 991-8900 · Fax (770) 991-8917
Fax(770) 991-8917
Organization SubpartNo
Authorized OfficialAmjad IqbalCeo · (770) 991-8900
Enumeration DateOctober 13, 2014
NPI 1902200447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · 20280
189 MEDICAL WAY, Riverdale, GA 30274

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
189 MEDICAL WAY, SUITE B
RIVERDALE, GA 30274
Obstetrics & Gynecology
189 MEDICAL WAY, SUITE B
RIVERDALE, GA 30274
Obstetrics & Gynecology
189 MEDICAL WAY, SUITE B
RIVERDALE, GA 30274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Clinic, PC's NPI number?

The NPI number for Pediatric Clinic, PC is 1902200447. It was assigned to this organization in the NPPES registry on October 13, 2014.

Where is Pediatric Clinic, PC located?

Pediatric Clinic, PC is located at 189 Medical Way Suite C, Riverdale, GA 30274. The listed phone number is (770) 991-8900.

What is Pediatric Clinic, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Pediatric Clinic, PC was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.